Phage Therapy: Towards a Successful Clinical Trial

While phage therapy carried out as compassionate use (experimental therapy) has recently flourished, providing numerous case reports of supposedly healed patients, clinical trials aiming to formally prove their value in accord with current regulatory requirements have failed. In light of the current...

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Main Authors: Andrzej Górski, Jan Borysowski, Ryszard Międzybrodzki
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/9/11/827
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author Andrzej Górski
Jan Borysowski
Ryszard Międzybrodzki
author_facet Andrzej Górski
Jan Borysowski
Ryszard Międzybrodzki
author_sort Andrzej Górski
collection DOAJ
description While phage therapy carried out as compassionate use (experimental therapy) has recently flourished, providing numerous case reports of supposedly healed patients, clinical trials aiming to formally prove their value in accord with current regulatory requirements have failed. In light of the current issue of increasing antibiotic resistance, the need for a final say regarding the place of phage therapy in modern medicine is evident. We analyze the possible factors that may favor success or lead to the failure of phage therapy: quality of phage preparations, their titer and dosage, as well as external factors that could also contribute to the outcome of phage therapy. Hopefully, better control of these factors may eventually bring about long-awaited positive results.
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spelling doaj.art-74a4a301ec344fe18b0fdf2deb0422052023-11-20T21:29:22ZengMDPI AGAntibiotics2079-63822020-11-0191182710.3390/antibiotics9110827Phage Therapy: Towards a Successful Clinical TrialAndrzej Górski0Jan Borysowski1Ryszard Międzybrodzki2Bacteriophage Laboratory, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences (HIIET PAS), 53-114 Wroclaw, PolandDepartment of Clinical Immunology, Transplantation Institute, Medical University of Warsaw, 02-006 Warsaw, PolandBacteriophage Laboratory, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences (HIIET PAS), 53-114 Wroclaw, PolandWhile phage therapy carried out as compassionate use (experimental therapy) has recently flourished, providing numerous case reports of supposedly healed patients, clinical trials aiming to formally prove their value in accord with current regulatory requirements have failed. In light of the current issue of increasing antibiotic resistance, the need for a final say regarding the place of phage therapy in modern medicine is evident. We analyze the possible factors that may favor success or lead to the failure of phage therapy: quality of phage preparations, their titer and dosage, as well as external factors that could also contribute to the outcome of phage therapy. Hopefully, better control of these factors may eventually bring about long-awaited positive results.https://www.mdpi.com/2079-6382/9/11/827phage therapyclinical trialantibiotic resistance
spellingShingle Andrzej Górski
Jan Borysowski
Ryszard Międzybrodzki
Phage Therapy: Towards a Successful Clinical Trial
Antibiotics
phage therapy
clinical trial
antibiotic resistance
title Phage Therapy: Towards a Successful Clinical Trial
title_full Phage Therapy: Towards a Successful Clinical Trial
title_fullStr Phage Therapy: Towards a Successful Clinical Trial
title_full_unstemmed Phage Therapy: Towards a Successful Clinical Trial
title_short Phage Therapy: Towards a Successful Clinical Trial
title_sort phage therapy towards a successful clinical trial
topic phage therapy
clinical trial
antibiotic resistance
url https://www.mdpi.com/2079-6382/9/11/827
work_keys_str_mv AT andrzejgorski phagetherapytowardsasuccessfulclinicaltrial
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AT ryszardmiedzybrodzki phagetherapytowardsasuccessfulclinicaltrial